Name(First/Middle/Last) of child Age, DOB, & 2020-2021 Grade level *
Your answer
Name(First/Middle/Last) of child Age, DOB, & 2020-2021 Grade level
Your answer
Name(First/Middle/Last) of child Age, DOB, & 2020-2021 Grade level
Your answer
Name(First/Middle/Last) of child Age, DOB, & 2020-2021 Grade level
Your answer
Address (Street, City, Zip) *
Your answer
Mother/Guardian's(Name, place of employment, Contact info: Cell, Work, Home, & email) *
Your answer
Father/Guardian's(Name, place of employment, Contact info: Cell, Work, Home, & email) *
Your answer
Information about Extended School Day: *
A registration fee of $50 per child is due with this application in order to fully apply.
Extended School Day staff will be in contact with you by May 17th to confirm enrolled/waitlisted students. Remember in order to be enrolled you must pay the $50 fee per child along with turning in this application! If you have any questions, please email: britani.payne@amaisd.org *
Time *
Time
:
AM
PM
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.